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STEVEN PARK KIM D.P.M. NPI 1306877006


NPI Information

NPI: 1306877006
Provider Name: STEVEN PARK KIM, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
4761 HOEN AVE
SANTA ROSA, CA
ZIP 95405
Phone: (707) 545-0570
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Steven Park Kim, D.P.M. is a foot and ankle surgery podiatrist in Santa Rosa, CA with 23 years of experience. Steven Park Kim, D.P.M. NPI is 1306877006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2001

The provider's business location address is:

4761 HOEN AVE
SANTA ROSA, CA
ZIP 95405-862
Phone: (707) 545-0570
Fax: (707) 545-0575

The NPI 1306877006 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)

The enumeration date for this NPI number is 7/5/2006 and was last updated on 4/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryE4506CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000E45060MEDICARE PINCALIFORNIA
2P01011615OTHERCALIFORNIARAILROAD MEDICARE
3FM916ZMEDICARE PINCALIFORNIA
4000E45060MEDICAIDCALIFORNIA
5P00336765MEDICARE PINCALIFORNIA
6U98086MEDICARE UPINCALIFORNIA
75234710001MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.